Bryn Taylor Witzman, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD004293 Issued in GA

Practice address

2301 Newnan Crossing Blvd E Ste 160
Newnan, GA 30265-2576

Phone

(770) 254-2224

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Bryn Taylor Pond Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Coweta Hearing ClinicGroup PAC ID 0446267041, 3 clinicians

Fayette Hearing Clinic IncGroup PAC ID 7517060114, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coweta Hearing Clinic

  • Audiologist
  • Newnan, GA
  • NPI 1518177146
  Medicare reassignment Care Compare group NPD
• Fayette Hearing Clinic Inc

  • Audiologist
  • Fayetteville, GA
  • NPI 1952437055
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1093388779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NEWNAN CROSSING BLVD E STE 160",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652576",
            "telephone_number": "770-254-2224",
            "fax_number": "770-254-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NEWNAN CROSSING BLVD E STE 160",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652576",
            "telephone_number": "770-254-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZMAN",
        "first_name": "BRYN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD004293",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD004293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA AUDIOLOGY LICENSE",
            "identifier": "AUD004293",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYN",
            "last_name": "POND",
            "middle_name": "TAYLOR",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarice Annette Wimberly, MD, MS
• Stephen Wingo
• Albert Jacob Wisenauer, PTA
• Elizabeth Witham, RN
• Lindsey L Witt, WHNP
• Wiwac Consulting Firm
• Zenebe G Woldegebriel, NP
• Autum Wolski
• Mary Elizabeth Wood, LMT
• Jo Ann Woodie, NP

• Audiologist in Newnan, GA
• Providers in Newnan, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.